Orthodontic treatment is a great way to achieve a straighter, healthier smile. However, no matter what orthodontic device you wear, your journey to a perfect smile can sometimes be uncomfortable. One of the most common challenges orthodontic patients face during orthodontic treatment is tooth and gum sensitivity.
In this blog, we’ll discuss some of the most common causes of sensitivity and provide tips to keep you comfortable throughout your orthodontic journey.
Understanding the Cause of Tooth and Gum Sensitivity
To understand your tooth and gum sensitivity, knowing why you might experience it is important. Some of the most common reasons why sensitivity may occur during orthodontic treatment include:
Pressure from Moving Teeth
When your braces or clear aligners exert pressure to move your teeth into the appropriate position, the surrounding tissues, ligaments, and nerves may become inflamed or irritated. This pressure can result in temporary sensitivity, especially immediately following an adjustment or when switching to a new set of aligners.
Gum Irritation
Your brackets, wires, and aligners may rub against your gums, leading to irritation, swelling, and sensitivity. In some cases, gums may recede slightly, exposing the roots of our teeth, which are more sensitive to temperature changes of touch. This gum recession is most common when your teeth shift into a new position.
Oral Hygiene Challenges
Maintaining proper oral hygiene with braces can be more challenging due to the brackets and wires obstructing easy cleaning. If plaque and food particles build up around your braces, it can lead to gum inflammation or the development of gum disease, contributing to increased gum sensitivity.
Enamel Wear and Exposed Dentin
Some orthodontic treatments can lead to enamel wear, exposing the dentin underneath. This enamel wear is also common when your orthodontist removes your orthodontic device. Dentin contains tiny channels that lead to the nerves in your teeth, making them far more sensitive to hot and cold foods, beverages, and sweets.
Temporary Bite Change
As your teeth move, your bite can change, sometimes causing certain teeth to experience more pressure than others. This uneven pressure may contribute to increased tooth sensitivity. However, as you go through your treatment plan and your teeth settle into their appropriate position, this sensitivity should become less prevalent.
Practical Ways to Treat Tooth and Gum Sensitivity
While this tooth and gum sensitivity is to be expected, that doesn’t make it any less uncomfortable. There are several effective ways to manage and alleviate your tooth and gum sensitivity during orthodontic treatment, including the following:
Use Desensitizing Toothpaste
If you experience tooth and gum sensitivity during orthodontic treatment, you might want to switch to a toothpaste designed for sensitive teeth. Desensitizing toothpastes contain active ingredients like potassium nitrate or sodium fluoride, which help block pain signals from the nerves in your teeth. Using these toothpastes regularly can relieve sensitivity and protect your enamel. It is important that you use this toothpaste consistently to find relief. It may take up to two weeks to notice significant improvement.
Maintain Proper Oral Hygiene
Proper oral hygiene during orthodontic treatment can prevent gum inflammation and plaque buildup, which may cause tooth and gum sensitivity. Remember to brush your teeth after every meal using a soft-bristled toothbrush and fluoride toothpaste to clean around your brackets, wires, and aligners. Use interdental brushes to clean hard-to-reach areas around your braces. Finally, floss daily using orthodontic flossers or a water flosser to remove any remaining food particles and bacteria.
Rinse with a Fluoride Mouthwash
In addition to brushing and flossing after each meal, it is important that you use a fluoride mouthwash to reduce tooth and gum sensitivity. These products are designed to strengthen your enamel, reducing overall sensitivity. When looking for a mouth rinse, it is important that you choose a product specifically formulated for sensitive teeth and rinse once or twice daily to protect against cavities and enamel erosion.
Apply Orthodontic Wax
If your brackets or wires are irritating your gums, orthodontic wax can create a protective barrier. Apply a small piece of wax over the area causing discomfort. This can help reduce friction and prevent gum irritation. If this area is a frequent cause of discomfort or you believe you’re experiencing an orthodontic emergency, you may want to tell your orthodontist during your next appointment. They can check your wires and brackets to ensure everything is in place.
Take Over-the-Counter Pain Medication
For temporary relief from tooth and gum sensitivity, you can take over-the-counter pain medications like ibuprofen and acetaminophen. This pain medication can be especially beneficial immediately following an adjustment when your braces are most likely to cause some immediate discomfort. Be sure to follow the dosage instructions and consult your orthodontist if you have any concerns about medication use.
Saltwater Rinse for Gum Relief
A warm saltwater rinse can help reduce gum sensitivity and inflammation. Mix half a teaspoon of salt in a glass of warm water and swish it around your mouth for 30 seconds. This natural remedy can soothe sensitive gums and promote healing. Another benefit of saltwater rinses is that you can do this several times throughout the day, relieving your discomfort whenever you experience it.
When to See Your Orthodontist
Although you can expect mild sensitivity during orthodontic treatment, you should never ignore severe or persistent discomfort. If your sensitivity doesn’t improve with at-home remedies, or if you’re experiencing sharp pain, bleeding gums, or swelling, it is in your best interest to reach out to your orthodontist for support. During your check-up, they can check for issues, including:
- Loose brackets or wires
- Gum disease or infection
- Excessive enamel wear
- Misalignment causing pressure
Your orthodontist may recommend adjustments, professional cleanings, or additional treatments to alleviate discomfort. Regardless of their recommendations, it is important to remember that they always have your best interest in mind.
Compassionate Orthodontic Care in Northern Utah
Tooth and gum sensitivity during orthodontic treatment can be a temporary inconvenience, but it doesn’t have to disrupt your life. If you’re looking for a compassionate orthodontic team in the Farmington or Bountiful area to help you through this journey, turn to our team at Bailey Orthodontics. For years, we’ve provided comprehensive care to patients across the Wasatch Front, and we’re confident we can do the same for you. Whether you’re just starting this journey or need help handling tooth and gum sensitivity, we’re here to help every step of the way.
If you would like more information about our orthodontic services or you would like to schedule an appointment, don’t hesitate to contact us today.
